Primary angioplasty represents a low aggressive and efficacious method to improve the healing process in diabetic ischaemic ulcers. However, beyond appropriate re-vascularisation, even repetitive if necessary, achieving satisfactory limb-salvage rates probably implies a multidisciplinary control of the presenting risk factors for wound healing as well.

with a 5-year secondary success rate of 91 Ϯ 2%. Of the 279 patients, 26 (9.3%) undergoing imaging FU benefitted from the yearly CT scans, since they had re-interventions based on asymptomatic imaging findings: AAA diameter expansion with or without endoleaks (n ϭ 18), kink in the stentgraft limbs (n ϭ 4), endoleak type III due to stent-graft limb separation without simultaneous AAA expansion (n ϭ 2), isolated common iliac artery expansion (n ϭ 1) and superior mesenteric artery malperfusion due to partial coverage by the stent-graft fabric (n ϭ 1).Conclusions: Less than 10% of the patients benefit from the yearly CT-FU after EVAR. Only one re-intervention due to partial coverage of a branch by the stent-graft would have been delayed if routine FU had been based on simple diameter measurements and plain abdominal radiograph. This suggests that less-frequent CT is sufficient in the majority of patients, which may simplify the FU protocol, reduce radiation exposure and the total costs of EVAR. Contrast-enhanced CT scans continue, nevertheless, to be critical when re-interventions are planned. Combined Primary Subintimal and Endoluminal Angioplasty for Ischaemic Inferior-limb Ulcers in Diabetic Patients: 5-year Practice in a Multidisciplinary 'Diabetic-Foot' Service Alexandrescu V., Hubermont G., Philips Y., Guillaumie B., Ngongang Ch., Coessens V., Vandenbossche P., Coulon M., Ledent G., Donnay J.-C. Eur J Vasc Endovasc Surg 2009;xx:xx-xx. Readers can access EJVES articles at

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Local thrombolytic infusion is a safe and effective treatment for acute and subacute upper extremity arterial thromboembolism.

Aortic and iliac pseudo-aneurysms are infrequent but challenging complications after open surgical graft reconstructions, mostly having para-anastomotic localisations. The true corporeal peri-prosthetic false aneurysms are, up until now, very rarely documented presentations. We report the clinical case of an 8.8 cm diameter non-anastomotic and aseptic pseudo-aneurysm developed on aorto-bifemoral Dacron prosthesis in a symptomatic and high surgical risk patient. Considering the clinical presentation and the anatomical features, a chronic tear of the posterior prosthetic wall by prominent aortic remnant calcifications was evoked as the possible aetiology. An endovascular exclusion, using a tapered aorto-uni-iliac endograft coupled to a femoro-femoral bypass revascularisation, was technically successful. Despite scarce published clinical data focusing on the optimal treatment dedicated to this category of false aneurysm, this approach is thought to be beneficial in selected cases of high-risk surgical patients.